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Quick verdict
Sesame Care is the better pick for most patients on overall scoring. Sesame is a cash-pay marketplace, not a program. Pay one fee, see one doctor, leave with a script. Cheapest path to a real branded GLP-1 prescription if you can fill it elsewhere. Zero ongoing care. That is the point and the limit.
That said, Medvi wins on specific dimensions. Medvi runs a compounded-semaglutide and tirzepatide model at flat monthly pricing, with no lock-in and rapid intake. Comparable to Henry Meds and Mochi on price; less established clinical depth than Form Health or Knownwell. Best fit for cash-pay patients who want predictable monthly cost with minimal friction.
Side-by-side
| Medvi | Sesame Care | |
|---|---|---|
| Starts from | $299/mo (incl. medication) | $189/mo (+ med separate) |
| Monthly cost gap | Medvi is $50/mo cheaper than Sesame Care | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 2 days | 1 day |
| Consultation type | Asynchronous | Live |
| Affiliate network | Direct | CJ |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Medvi | Sesame Care | |
|---|---|---|
| Pricing transparency | 8/10 | 8/10 |
| Cancellation terms | 8/10 | 10/10 |
| Onboarding experience | 7/10 | 8/10 |
| Medication options | 7/10 | 6/10 |
| Member reviews | 9/10 | 9/10 |
When to choose Medvi
Best for flat compounded with no lock-in
Cash-pay patients who want flat predictable compounded GLP-1 pricing with no lock-in and same-week onboarding. Strong fit if you've taken GLP-1 before and want a simple ongoing prescription channel.
Medvi wins on medication options and runs $50/mo cheaper than Sesame Care at the entry tier ($179 vs $229). Over a year that's $600 you keep. The caveat: Insurance-pathway shoppers, patients with multiple comorbidities needing clinical depth or anyone wanting branded Wegovy or Zepbound through standard PA. Note also: Compounded GLP-1 carries 503A regulatory exposure; see compounded callout
When to choose Sesame Care
Best for one-off self-directed Rx
Self-directed buyers who want a one-off prescription and will manage refills, sourcing and titration on their own.
Sesame Care wins on cancellation terms, onboarding experience on the dimensional scoring. The caveat: Anyone wanting coaching, dietitian access, ongoing accountability or an integrated medication supply chain.
If cost is your main filter
Medvi is the cheaper monthly: $179 all-in vs $229 for Sesame Care. That's $50 a month or $600a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $150 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
Medvi (month-to-month) and Sesame Care (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is Medvi cheaper than Sesame Care?
Can I switch from Medvi to Sesame Care mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
